N.H. Admin. Code § Mid 502.09

Current through Register No. 45, November 7, 2024

Section Mid 502.09 - Obstetrical Consultation Required To Determine Eligibility for Midwifery Care

A midwife shall consult with an obstetrician or CNM to evaluate whether a woman is an appropriate candidate for out-of-hospital birth when she or her fetus, as applicable, appears to have or develops any of the following conditions:

(a) A first pregnancy at an age younger than 16 or older than 40;

(b) Maintenance on anti-epileptic medications without a history of convulsions in the previous year;

(c) Gestational hypertension measured at 140/90 after 20 weeks on at least 2 occasions 6 hours apart;

(d) An arrhythmia or a heart murmur other than a benign, functional murmur;

(e) A history of hereditary problems with the potential to affect the fetus or newborn;

(f) A history of significant postpartum hemorrhage;

(g) A history of previous intrauterine death of a fetus of more than 20 weeks' gestation;

(h) A history of stillbirth;

(i) A history of prior obstetrical problems including:

(1) Prematurity;

(2) Uterine abnormalities;

(3) Placental abruption; and

(4) Insufficient cervix;

(j) Cancerous or pre-cancerous condition of the cervix as indicated by an abnormal Pap test;

(k) Renal disease not requiring dialysis, such as recurrent urinary tract or kidney infection;

(l) Active gonorrhea;

(m) Active chlamydia;

(n) Gestational diabetes;

(o) Significant second or third-trimester bleeding;

(p) Grand multiparity;

(q) Multiple fetuses;

(r) Malpresentation after 36 weeks;

(s) Suspected small for gestational age to rule out developing IUGR;

(t) Suspected large for gestational age;

(u) Polyhydramnios;

(v) Oligohydramnios;

(w) Ultrasound evidence of a fetal or placental abnormality; or

(x) Suspected postmaturity greater than 42 weeks' gestation.

N.H. Admin. Code § Mid 502.09

#7759, eff 9-7-02

Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12040, Effective 11/10/2016, Expires 11/10/2026.